FORM 1023-EZ for NEW LEASH RESCUE

Field Data
EIN 81-3153419
Case Number EO-2016208-000480
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW LEASH RESCUE
Organization’s Mailing Address 31951 OXFORD MILL RD
City CANNON FALLS
State MN
ZIP 55009-7114
Accounting period End 12
Primary contact name KIM K BALDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIM BALDER
TREASURER
31951 OXFORD MILL RD
CANNON FALLS MN 55009-7114

Officer/Director/Trustee Two

VALERIE ZAPPA
SECRETARY
7475 BABCOCK TRL
INVER GROVE HEIGHTS MN 55077-3109

Officer/Director/Trustee Three

BENJAMIN DELEROSA
PRESIDENT
1455 CARRIE ST
W SAINT PAUL MN 55118-3203

Officer/Director/Trustee Four

TERRI BLAZER
BOARD MEMBER
932 LOGAN LN
S ST PAUL MN 55075-1333

Officer/Director/Trustee Five

KATIE KALLEMEYN
VICE PRESIDENT
19884 EMBERS AVE
FARMINGTON MN 55024-7359

Organization’s website WWW.NEWLEASHRESCUE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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